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1991, 09-16 Permit App: 91005867 Reroof
INFORMATION WORKSHEET PARCEL NUMBER: 2264 CI b 22-7 • STREET ADDRESS: ! 31 ,0s- - 9 • CITY/STATE/ZIP: 4/• r. / ��vt (4 9 9 cl �--J • SUBDIVISION: IA9fh6O10 141 -t"J P . :BLOCK:. 9�- LOT:7 ZONE: L DISTRICT: • LOT AREA: • F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: . # OF DWELLINGS: - .WATER-DISTRICT: OWNER: II S _ i :11.1 ' _ i 'l:ONE: 5 9a ta- 7 39'5— .MAILING ADDRESS = /.51 O.J 4_ 1 4 CITY/STATE/ZIP: J1 }-- -99 6 CONTACT: - PHONE:- ; - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ( �, � ( ���P At 11-63 / 3C/$ . . BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: cS E — — 3 7,P-707 • CONTRACTOR: /i. PHONE: (Ng- // �Q MAILING ADDRESS: PO e )70,7 ( (at- qc,c)c�o ARCHITECT/ENGINEER: PHONE: - - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWE: ", UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUIL; ING DIMENSIONS: X (WIDTH I DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: